DR. NICOLE MARIE REDDOUT DMD
NPI 1790001436
Dentist - Oral and Maxillofacial Surgery in Norfolk, VA

Active since April 19, 2010PECOS EnrolledAccepts Medicare Assignment
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511(757) 953-8605 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicole Marie Reddout Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE MARIE REDDOUT DMD (NPI 1790001436) is an individual oral and maxillofacial surgery provider in Norfolk, Virginia, licensed in Virginia (0438000368) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790001436
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NICOLE MARIE REDDOUTCredential: DMD
Location Address1647 ADMIRAL TAUSSIG BLVDNorfolk, VA 23511-2803
Mailing Address112 Meridian PlSuffolk, VA 23435-3787 · (702) 374-8217
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 19, 2010
Last NPPES UpdateJanuary 30, 2017
NPI 1790001436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in VA · 0438000368
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 0401415421 (VA)
1647 ADMIRAL TAUSSIG BLVD, Norfolk, VA 23511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Marie Reddout Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800261652
PECOS Enrollment IDI20230407001127
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Dental Hygienist
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Dentist (Pediatric Dentistry)
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Dentist
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Dentist
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Dentist (Endodontics)
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Dentist
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Dental Hygienist
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Reddout's NPI number?

The NPI number for Nicole Reddout is 1790001436. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Nicole Reddout located?

Nicole Reddout practices at 1647 Admiral Taussig Blvd, Norfolk, VA 23511. The listed phone number is (757) 953-8605.

What is Nicole Reddout's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nicole Reddout enrolled in Medicare?

Yes. Nicole Reddout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Reddout accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Nicole Reddout as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Reddout was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.